City Of Estacada

Building Permit Application

Jun 17, 2021
submission #24
Location and Description of Work

Location

Job Address 585 SE 4th Ave, Estacada OR 97023-9466
Taxlot Number 34E28BB00100
Parcel Number 00946980

Description of Work

Class Residential
Appx. Square Footage of Building 2000
Estimated Finished Value of Improvements $0.00
Basic Descriptor Other

Other work descriptor

Because you indicated "other" in the preceding section, please provide an alternative one or two-word basic descriptor for your project. DEMOLITION

Detailed project description

In a few sentences or short paragraph, please describe the proposed Removal and disposal of existing structures
Property Owner Information

Property Owner Info

Property Owner Full Name william hilands
Preferred Phone Number +15038902633
Email Address [email protected]
Mailing Address 34385 SE Friendly Ln, Estacada OR 97023-9445
Contractor Information

Contractor vs. Self-Performance

Will you complete the proposed work yourself? Yes
Engineer, Architect, or Designer Info

Engineer, Architect, or Designer

Is your project professionally designed by a licensed architect, engineer, or other design professional? No
Applicant Signature

Acknowledgement and Signature

Please type "I agree" in order to acknowledge and agree to the statement above. I agree
Planning Review

Zone

In which zone is the subject property? R-1 Low Density Residential
Lot .
Block .
Subdivision .

Setbacks

Front 20
Right 5
Left 5
Rear 15

Parking

Is off-street parking required? No

Special Conditions/Comments

If there are additional requirements or conditions, or if additional clarification is needed for any of the preceding information, please note that here. demolition only
Assignment for Departmental Reviews

Determine reviewing departments

Which additional departments need to review this application?
Building Dept Review

Project Info

Construction Type n/a
Square Feet 0
Occupancy Group 0
Max Occupancy Load 0
Number of stories 0
Height 0
Special Conditions/Comments: .
Upload annotated/marked-up drawings (permit set) route-seq.txt
Final Review and Fee Calculation

Permit No. and Dates

Permit Number n/a
Application Date 2021-07-07

Fee Summary

Which fees apply? Building

Building Fees

Fees $40.00
Plan Check $0.00
Surcharge $0.00
Deferred/Phased $0.00
Total Building $40.00

Fee total

Plan Check $0.00
Fees $40.00
Surcharge $0.00
Deferred/Phased $0.00
TOTAL FEES DUE $40.00